Dwight Dansereau
NPI #1326441445 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1326441445
- Entity Type
- Individual
- Name
- Dwight Dansereau
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Oct 2, 2014
- Last Updated
- Oct 2, 2014
Practice Location
- Address
- 1319 N GOVERNMENT WAY
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-3252
- Phone
- (208) 667-3813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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